Individual
MICHELLE CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-4958
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R78196
AZ
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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